Soaring Minds Psychology, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SOARING MINDS PSYCHOLOGY, INC.

Practice address

115 W California Blvd
Suite 288
Pasadena, CA 91105-3005

Phone

(602) 730-6162

NPI assigned

Mar 21, 2025

Last updated

Mar 21, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alexandra Pudzemis, PSYDNPI 1669956744

Title

Owner

Phone

(602) 730-6162

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexandra Maria Pudzemis

  • Psychologist
  • Torrance, CA
  • NPI 1669956744
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1912708454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W CALIFORNIA BLVD # 288",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W CALIFORNIA BLVD",
            "address_2": "SUITE 288",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053005",
            "telephone_number": "602-730-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOARING MINDS PSYCHOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "PUDZEMIS",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-730-6162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.